https://www.medlegal360.com/facet-joint-injuries/
The facet joints, or zygapophyseal joints,
are vital components of the vertebral
column, distinct from intervertebral
disks and forming part of the vertebral arches. These joints are
highly susceptible to injuries, particularly in the subaxial cervical spine,
but also in thoracic and lumbar regions.
Common triggers for facet
joint damage range from stooping and abrupt twisting to repetitive
movements, sports incidents,
falls, and
lifting heavy objects. Age-related cartilage degeneration is also a
contributing factor.
It's easy to mistake the symptoms of disc
herniation for those related to facet joint pain, especially when
bone spurs lead to nerve compression, causing radiating pain in the arms or
legs. The diagnostic process often begins with a physical exam, followed by
imaging tests such as X-rays, MRIs, CTs, and SPECTs. However, imaging is not
always conclusive for detecting facet joint injuries.
For a more accurate diagnosis, physicians
often employ facet joint injections, combining local anesthetic and
corticosteroid treatments. A reduction in pain post-injection can confirm the
diagnosis rapidly.
Initial treatments for minor facet joint
injuries generally focus on conservative, non-surgical methods such as physical
therapy and anti-inflammatory medications. Additional treatments may include
muscle relaxants, lidocaine injections, Radiofrequency Ablation (RFA), and
medial branch blocks. Surgery is usually the last resort for severe facet joint
issues.
Facet joint injuries are particularly
common in multi-vehicle
accidents, notably rear-end collisions. These injuries can lead to
degenerative spinal disorders like facet joint syndrome if not properly
addressed. In personal injury claims involving facet joint injuries, obtaining
compensation can be challenging due to the inconclusive nature of imaging
studies. Therefore, retaining an attorney specialized in facet
joint injury claims is crucial for securing reimbursement for lost
income, medical bills, and emotional suffering.
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